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Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy

Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client p...

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Autores principales: Trohl, Ulrich, Wagner, Karoline, Kalfa, Vivian, Negash, Sarah, Wienke, Andreas, Führer, Amand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619663/
https://www.ncbi.nlm.nih.gov/pubmed/34831606
http://dx.doi.org/10.3390/ijerph182211850
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author Trohl, Ulrich
Wagner, Karoline
Kalfa, Vivian
Negash, Sarah
Wienke, Andreas
Führer, Amand
author_facet Trohl, Ulrich
Wagner, Karoline
Kalfa, Vivian
Negash, Sarah
Wienke, Andreas
Führer, Amand
author_sort Trohl, Ulrich
collection PubMed
description Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client population on the waiting list of a psychosocial center (PSZ). Methods: We conducted a retrospective observational study based on client files in Halle (Saale), Germany. We included 437 adults who were on the PSZ waiting list between 2016 and 2019. Questionnaires that collected information on the clientele at two different times were analyzed. Results: The average waiting time for psychotherapy was 50 weeks. In total, 85.6% of the 188 respondents reported sleep disorders (n = 161), 65.4% of clients reported pain (n = 123) and 54.8% suicide attempts/suicidal thoughts (n = 54). In the 16-week waiting period in which the clients waited for an initial appointment with a psychologist, the residence status deteriorated in 21.3% (n = 40). Conclusion: Improving asylum seekers’ access to the German health system is urgently needed in order to prevent unnecessary suffering in the future and to comply with EU law.
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spelling pubmed-86196632021-11-27 Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy Trohl, Ulrich Wagner, Karoline Kalfa, Vivian Negash, Sarah Wienke, Andreas Führer, Amand Int J Environ Res Public Health Article Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client population on the waiting list of a psychosocial center (PSZ). Methods: We conducted a retrospective observational study based on client files in Halle (Saale), Germany. We included 437 adults who were on the PSZ waiting list between 2016 and 2019. Questionnaires that collected information on the clientele at two different times were analyzed. Results: The average waiting time for psychotherapy was 50 weeks. In total, 85.6% of the 188 respondents reported sleep disorders (n = 161), 65.4% of clients reported pain (n = 123) and 54.8% suicide attempts/suicidal thoughts (n = 54). In the 16-week waiting period in which the clients waited for an initial appointment with a psychologist, the residence status deteriorated in 21.3% (n = 40). Conclusion: Improving asylum seekers’ access to the German health system is urgently needed in order to prevent unnecessary suffering in the future and to comply with EU law. MDPI 2021-11-12 /pmc/articles/PMC8619663/ /pubmed/34831606 http://dx.doi.org/10.3390/ijerph182211850 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Trohl, Ulrich
Wagner, Karoline
Kalfa, Vivian
Negash, Sarah
Wienke, Andreas
Führer, Amand
Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_full Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_fullStr Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_full_unstemmed Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_short Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_sort sick and tired—sociodemographic and psychosocial characteristics of asylum seekers awaiting an appointment for psychotherapy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619663/
https://www.ncbi.nlm.nih.gov/pubmed/34831606
http://dx.doi.org/10.3390/ijerph182211850
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